Organization Active NPI

MDC Medical LLC

  • Physical Medicine & Rehabilitation Physician
  • Hollywood, FL
National Provider Identifier
1467205948
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MDC MEDICAL LLC
Practice address
6067 Hollywood Blvd Ste 203
Hollywood, FL 33024-7922
Phone
(305) 497-0363
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Norlan TorresNPI 1013193515
Title
Owner
Phone
(305) 497-0363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

6067 Hollywood Blvd Ste 203
Hollywood, FL 33024-7922

Mailing address

860 NW 122ND Ave
Miami, FL 33182-2419
Phone (305) 497-0363

National Provider Directory

National Provider Directory

Locations

6067 Hollywood Blvd
Ste 203
Hollywood, FL 33024
Phone (305) 497-0363

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1467205948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 NW 122ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331822419",
            "telephone_number": "305-497-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6067 HOLLYWOOD BLVD STE 203",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247922",
            "telephone_number": "305-497-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDC MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "NORLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-497-0363"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.